| NPI | 1407510357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE BRYDON Therapist 720-401-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-11-22 |